Nursing Care Plan for Pneumonia

Nursing Plan

Breath Pattern ineffectiveness because of pulmonary infection


Characteristics :

Cough (both productive and non productive), shortness of breath, Tachipnea, breath sounds are limited, retraction, fever, diaporesis, ronchii, cyanosis, leukocytosis.


Goal :

Effective breathing pattern characterized by :

• Voice of lung breath clean and the same on both sides
• The temperature of the body within the limits of 36.5 to 37.2 OC
• The rate of breathing in the normal range
• There is no coughing, cyanosis, retraction and diaporesis

Intervention :

• Perform assessments every 4 hours of respiratory rate, temperature, and signs of airway effectiveness.
  Rational: Evaluation and reassessment of the actions that will be / have been granted.
• Perform scheduled Phisioterapi chest
  Rational: Removing the secretion of the airway, preventing obstruction
• Give Oxygen
  Rational: Increased lung tissue oxygen supply
• Give antibiotics and antipyretics, assess the effectiveness and side effects (rash, diarrhea)
  Rational: Eradication of the bacteria as a factor of disturbance causa
• Make checks thoracic photo
  Rational: The evaluation of the effectiveness of the circulation of oxygen, evaluated the condition of lung tissue
• Perform a gradual suction
  Rational: Helping airway clearance
• Record the results of the pulse oximeter when installed, every 2 - 4 hours
  Rational: Periodically Evaluate the success of therapy / health team action.